Introduction to Maternity and Pediatric
Nursing Chpt 12-14
Cephalohematoma Ans- While inspecting a newborns head, the nurse identifies a swelling of the scalp
that does not cross the suture line. The nurse would document this finding as:
The babys head had to conform to the shape of the birth canal. Ans- The nurses best response to a
mother who is voicing concern about the molding of her 2-day-old baby is:
Sternal or chest retractions Ans- Shortly after delivery, a symptom of respiratory distress in the newborn
that should be reported is:
The Moro reflex was elicited Ans- When the newborns crib was moved suddenly, the nurse noticed that
his legs flexed and the arms fanned out, and then both came back toward the midline. The nurse would
interpret this behavior as:
Rooting Ans- A first-time mother reports that she is experiencing difficulty breastfeeding her newborn.
The neonatal reflex that the nurse would teach the mother to elicit, in order to facilitate breastfeeding,
is:
Open and flat Ans- While assessing the head of a healthy, full-term newborn, the nurse anticipates that
the anterior fontanelle is:
I should shampoo the head after washing the rest of the body. Ans- The statement that indicates the
parent understands the guidelines for bathing a newborn is:
Apical pulse rate of 178 beats/min Ans- The nurse is measuring the vital signs of a full-term newborn. An
abnormal finding would be:
Yellow Ans- The nurse is caring for a newborn that is being breastfed. The nurse would expect the stool
color to be:
, Newborns might strain with bowel movements because their muscles arent fully developed. Ans- The
mother of a 2-week-old infant tells the nurse, I think the baby is constipated. Ive noticed she strains
when she has a bowel movement. The nurses most helpful response would be:
3300 grams Ans- A full-term newborn weighs 3600 grams at birth. When he is weighed 3 days later, the
nurse would expect this newborn to weigh:
Cessation of female sex hormones transferred in utero from mother to baby Ans- The parents of a
newborn baby girl express concern about the babys vaginal discharge, which appears to be bloody
mucus. The nurse explains that this is caused by:
Tell me how many hours per day your baby sleeps. Ans- The mother of a 2-week-old infant tells the
nurse that she thinks her baby is sleeping too much. The most appropriate nursing response to this
mother would be:
The infants diaper is not wet after 8 hours. Ans- The statement that indicates the parents understand
when to contact the pediatrician or nurse practitioner is:
Neonates can distinguish a mothers voice from other sounds in the first days of life. Ans- On what
knowledge would the nurse base a response to a mother who questions, Do you think my baby
recognizes my voice?
No action is necessary. This is a normal occurrence. Ans- The nurse compared the birthweight of a 3-
day-old with her current weight and determined the infant had lost weight. The most appropriate
intervention by the nurse is:
Leave the milia alone; it will disappear spontaneously. No treatment is needed. Ans- Parents express
concern about the milia on the face and nose of their baby. The nurses most helpful response would be
to instruct the parents to:
Depress the bulb before inserting the syringe tip into the mouth. Ans- The nurse is going to use a bulb
syringe to clear mucus from a newborns nose and mouth. The nurses first action is to:
Nursing Chpt 12-14
Cephalohematoma Ans- While inspecting a newborns head, the nurse identifies a swelling of the scalp
that does not cross the suture line. The nurse would document this finding as:
The babys head had to conform to the shape of the birth canal. Ans- The nurses best response to a
mother who is voicing concern about the molding of her 2-day-old baby is:
Sternal or chest retractions Ans- Shortly after delivery, a symptom of respiratory distress in the newborn
that should be reported is:
The Moro reflex was elicited Ans- When the newborns crib was moved suddenly, the nurse noticed that
his legs flexed and the arms fanned out, and then both came back toward the midline. The nurse would
interpret this behavior as:
Rooting Ans- A first-time mother reports that she is experiencing difficulty breastfeeding her newborn.
The neonatal reflex that the nurse would teach the mother to elicit, in order to facilitate breastfeeding,
is:
Open and flat Ans- While assessing the head of a healthy, full-term newborn, the nurse anticipates that
the anterior fontanelle is:
I should shampoo the head after washing the rest of the body. Ans- The statement that indicates the
parent understands the guidelines for bathing a newborn is:
Apical pulse rate of 178 beats/min Ans- The nurse is measuring the vital signs of a full-term newborn. An
abnormal finding would be:
Yellow Ans- The nurse is caring for a newborn that is being breastfed. The nurse would expect the stool
color to be:
, Newborns might strain with bowel movements because their muscles arent fully developed. Ans- The
mother of a 2-week-old infant tells the nurse, I think the baby is constipated. Ive noticed she strains
when she has a bowel movement. The nurses most helpful response would be:
3300 grams Ans- A full-term newborn weighs 3600 grams at birth. When he is weighed 3 days later, the
nurse would expect this newborn to weigh:
Cessation of female sex hormones transferred in utero from mother to baby Ans- The parents of a
newborn baby girl express concern about the babys vaginal discharge, which appears to be bloody
mucus. The nurse explains that this is caused by:
Tell me how many hours per day your baby sleeps. Ans- The mother of a 2-week-old infant tells the
nurse that she thinks her baby is sleeping too much. The most appropriate nursing response to this
mother would be:
The infants diaper is not wet after 8 hours. Ans- The statement that indicates the parents understand
when to contact the pediatrician or nurse practitioner is:
Neonates can distinguish a mothers voice from other sounds in the first days of life. Ans- On what
knowledge would the nurse base a response to a mother who questions, Do you think my baby
recognizes my voice?
No action is necessary. This is a normal occurrence. Ans- The nurse compared the birthweight of a 3-
day-old with her current weight and determined the infant had lost weight. The most appropriate
intervention by the nurse is:
Leave the milia alone; it will disappear spontaneously. No treatment is needed. Ans- Parents express
concern about the milia on the face and nose of their baby. The nurses most helpful response would be
to instruct the parents to:
Depress the bulb before inserting the syringe tip into the mouth. Ans- The nurse is going to use a bulb
syringe to clear mucus from a newborns nose and mouth. The nurses first action is to:
